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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109

Volume 10, Issue 1, February 2014 pp 61-66

Research Article

Efficacy of Klemm and Borner Criteria in Evaluating the End Results of Management of Closed Diaphyseal Fracture of Tibia Treated by Closed Interlocking Nailing


Saurabh Chandra*, Mukesh Tiwari#

*Resident 3rdyear, #Professor, Department of Orthopaedics, NIMS Medical College and Hospital Shobha Nagar, Jaipur, Rajasthan, INDIA.


Academic Editor : Dr. Aher K.R.



Background. The tibia is the most common fractured long bone, because of its exposed anatomical location and inadequate muscular envelope. Objectives: Evaluate fracture healing and union time with closed Interlocking nailing with reaming in regards to its functional outcome (klemm and borner criteria) with respect to knee and ankle joint movements, deformity, muscle atrophy and radiological union aiming at early mobility of patients. We report a randomized analysis of 30 patients treated in one center in rural area. Methods: Study done at Orthopaedic Department of NIMS Medical College, Jaipur (Rajasthan) between May 2011and May 2013. The patients included were more than 18 years, only closed diaphyseal fractures considered. Fractures of tibia other than diaphysis and unfit patients were excluded. Mean age was 32.4 years.29 patients had road traffic accident,1patient had history of fall:16 had ipsilateral fibula fracture,6 had contralateral tibia shaft fracture ,3 had head injury,3 had metacarpal fracture,2 had fracture clavicle and one had floating knee. Results: Average union time 4.7 months Complications encountered were 3 delayed union,1 malunion,1superficial infection,1 deep infection and 15 developed anterior knee pain. Conclusion: 90%of the total cases had excellent results,6.66% had good results and 3.33% had fair results.